Background Approximately 30 million children are treated in emergency departments each year in the United States, of which two to three million are children presenting with lacerations. Topical numbing medication is the standard of care in children with regard to pain control during laceration repair. While topical numbing medications are effective, children often require further pain control during laceration repair in the form of an injected numbing medication, which in itself is painful. No evidence currently exists regarding the concurrent use of oral pain medications to combat laceration procedural pain.

Research Question Does the addition of ibuprofen or oxycodone to lidocaine, epinephrine, and tetracaine (LET) topical anesthetic provide more effective pain control than LET alone during laceration repair?

Design This is a double-blinded, randomized-controlled study.

Methods Subjects in all three groups will receive topical anesthetic. In addition to topical anesthetic, two groups of children will receive either of two oral analgesics, ibuprofen or oxycodone, while the third group will receive a placebo.

Any child who has received pain medication at home in response to the facial laceration.

Children needing procedural sedation

Children with a known allergy to lidocaine, epinephrine, tetracaine, ibuprofen, or oxycodone

Patients with known or pre-existing medical conditions where the study protocol cannot be used

This includes any patient with a medical condition that prevents appropriate use of the pain scale

It also includes patients with medical conditions that warrant the use of chronic medications

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Please refer to this study by its ClinicalTrials.gov identifier: NCT01268670